Active NPI
South Bay Center for Counseling
- Community/Behavioral Health Agency
- Wilmington, CA
National Provider Identifier
1942508320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SOUTH BAY CENTER FOR COUNSELING
- Practice address
- 540 N Marine Ave
Wilmington, CA 90744-5528 - Phone
- (310) 414-2090
- Fax
- (310) 414-2096
- NPI assigned
- Mar 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Selene Ketchum
- Title
- Director Community-Based Doula Supp
- Phone
- (310) 491-4948
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Doula | 374J00000X |
Addresses
Primary practice location
540 N Marine Ave
Wilmington, CA 90744-5528
Mailing address
540 N Marine Ave
Wilmington, CA 90744-5528
Phone (310) 414-2090
National Provider Directory
National Provider DirectoryLocations
540 N Marine Ave
Wilmington, CA 90744
Phone (310) 461-9638
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Doula
- Wilmington, CA
- NPI 1497460117
-
- Doula
- Wilmington, CA
- NPI 1588319099
-
- Mental Health Counselor
- El Segundo, CA
- NPI 1689972903
-
- Marriage & Family Therapist
- El Segundo, CA
- NPI 1164685541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771891200000",
"number": "1942508320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 N MARINE AVE",
"city": "WILMINGTON",
"state": "CA",
"postal_code": "907445528",
"telephone_number": "310-414-2090",
"fax_number": "310-414-2096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 N MARINE AVE",
"city": "WILMINGTON",
"state": "CA",
"postal_code": "907445528",
"telephone_number": "310-414-2090",
"fax_number": "310-414-2096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH BAY CENTER FOR COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-08",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A",
"authorized_official_last_name": "KETCHUM",
"authorized_official_first_name": "SELENE",
"authorized_official_title_or_position": "DIRECTOR COMMUNITY-BASED DOULA SUPP",
"authorized_official_telephone_number": "310-491-4948"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "374J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.